IEEE J Biomed Health Inform. 2024 Sep;28(9):5509-5518. doi: 10.1109/JBHI.2024.3405941. Epub 2024 Sep 5.
Clinical studies have proved that both structural magnetic resonance imaging (sMRI) and functional magnetic resonance imaging (fMRI) are implicitly associated with neuropsychiatric disorders (NDs), and integrating multi-modal to the binary classification of NDs has been thoroughly explored. However, accurately classifying multiple classes of NDs remains a challenge due to the complexity of disease subclass. In our study, we develop a heterogeneous neural network (H-Net) that integrates sMRI and fMRI modes for classifying multi-class NDs. To account for the differences between the two modes, H-Net adopts a heterogeneous neural network strategy to extract information from each mode. Specifically, H-Net includes an multi-layer perceptron based (MLP-based) encoder, a graph attention network based (GAT-based) encoder, and a cross-modality transformer block. The MLP-based and GAT-based encoders extract semantic features from sMRI and features from fMRI, respectively, while the cross-modality transformer block models the attention of two types of features. In H-Net, the proposed MLP-mixer block and cross-modality alignment are powerful tools for improving the multi-classification performance of NDs. H-Net is validate on the public dataset (CNP), where H-Net achieves 90% classification accuracy in diagnosing multi-class NDs. Furthermore, we demonstrate the complementarity of the two MRI modalities in improving the identification of multi-class NDs. Both visual and statistical analyses show the differences between ND subclasses.
临床研究证明,结构磁共振成像(sMRI)和功能磁共振成像(fMRI)都与神经精神障碍(NDs)隐性相关,并且已经深入探索了将多模态整合到 NDs 的二进制分类中。然而,由于疾病亚类的复杂性,准确地对多种 NDs 进行分类仍然是一个挑战。在我们的研究中,我们开发了一种异构神经网络(H-Net),用于对多类 NDs 进行分类。为了考虑两种模式之间的差异,H-Net 采用了异构神经网络策略来从每种模式中提取信息。具体来说,H-Net 包括基于多层感知机(MLP-based)的编码器、基于图注意力网络(GAT-based)的编码器和跨模态变换块。基于 MLP 的编码器和基于 GAT 的编码器分别从 sMRI 和 fMRI 中提取语义特征,而跨模态变换块则对两种类型的特征进行注意力建模。在 H-Net 中,所提出的 MLP-mixer 块和跨模态对齐是提高 NDs 多分类性能的有力工具。H-Net 在公共数据集(CNP)上进行了验证,在该数据集上,H-Net 在诊断多类 NDs 方面达到了 90%的分类准确性。此外,我们还证明了两种 MRI 模式在提高多类 NDs 识别方面的互补性。视觉和统计分析都显示了 ND 亚类之间的差异。